Providence Health & Services Oregon

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PROVIDENCE HEALTH & SERVICES OREGON

Doing business as

Providence Home Medical Equipment

Practice address

2508 Pringle Rd SE
Salem, OR 97302-1532

Phone

(503) 585-4027

Fax

(503) 585-4741

NPI assigned

Aug 27, 2007

Organization subpart

Yes

Parent organization

PROVIDENCE HEALTH & SERVICES OREGONAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Donald Wayne Anderson Jr.

Title

Assistant Secretary Enrollments

Phone

(425) 358-9786

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Providence Home Medical Equipment Doing business as

Part of

Providence Portland Medical Center

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1871786418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5936A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972285936",
            "telephone_number": "503-215-4663",
            "fax_number": "503-215-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 PRINGLE RD SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021532",
            "telephone_number": "503-585-4027",
            "fax_number": "503-585-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HEALTH & SERVICES OREGON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROVIDENCE HEALTH & SERVICES  OREGON",
        "enumeration_date": "2007-08-27",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY ENROLLMENTS",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "OR",
            "license": "NPC-0003127",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270998",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Providence Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney Prokosch, PSYD
• David Prosser, M.D.
• Hillary Kay Provance-Wheeler, LPC
• Providence Health & Services - Oregon (Prov Peds Neurology Salem)
• Providence Health & Services Oregon (Providence Medcial Group)
• Linda L. Prudhomme, LCSW
• Whitney Pruett, LPN
• Alicia Pruitt
• Christopher Thomas Prze, MD
• Holly Prze

• Durable Medical Equipment & Medical Supplies in Salem, OR
• Providers in Salem, OR by specialty
• Durable Medical Equipment & Medical Supplies in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.